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ARCHIVED REPORTS_XR0003771
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HAZELTON
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375
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2900 - Site Mitigation Program
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PR0540905
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ARCHIVED REPORTS_XR0003771
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Entry Properties
Last modified
2/3/2020 10:06:44 AM
Creation date
2/3/2020 9:11:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003771
RECORD_ID
PR0540905
PE
2960
FACILITY_ID
FA0023406
FACILITY_NAME
SIERRA LUMBER MANUFACTURERS
STREET_NUMBER
375
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
147120808
CURRENT_STATUS
01
SITE_LOCATION
375 W HAZELTON AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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ORIGINA>_ Do Not Fs11 Zo <br /> File Original,Du Ilcate and Triplicate with the WATER WELL DRILLERS REPORT _ <br /> 9 P (Seeasoae 7016,1077,7071,Watae Cade) <br /> DIVISION OF WATER RESOURCES State Well No N p0 <br /> eMtMTO! CALIFpgNiJs OX 1079 STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC WORKS <br /> AC RA <br /> DIVISION OF WATER RESOURCES Other Well No <br /> i <br /> Region <br />,* DRILLER. (person, firm, or corporation) (8) LOCATION OF WELL- <br /> me Clark Udell Drilling Uo. county <br /> Address 2UZ4 B, CEarter Way R F D or Street No <br /> Stockton, Callf. <br />' OWNER t. �+ <br /> Name Fibreboard Products Inc <br /> Address P.O. BOX 7,90 (9) WELL LOG. <br /> 5tockton, Ualif, Total depth of well f` <br /> Farm,tion Mention uze of water gravel-- <br /> fr to ft <br />' (2) Proposed Use (Check) Equipment , <br /> Domestic E] 1:1Industrial Rotary <br /> Cable [2 <br /> Irrigation M Test Well ❑ Dug Well ❑ <br />' Municipal ❑ Other ❑ Other ❑ 42 121, 1:1 lie clay <br /> (3) CASING 13n 152 rjarij hl Ile cl a <br /> ft of in ib/ga casing irfs is well <br /> 352 156 Sand210 <br /> 228 261 Sand & Ki - gra-vel <br /> Type and s,ae of shoe or well ring 11 x 4 11 x tt <br /> 4) PERFORATIONS <br /> Illmpe of perfora[or used <br /> lgt <br /> erforated 234 fr to 2 59 it holes per sa <br /> I <br /> I <br /> D,ameter of perforations 11 x 1 [� ri 1A <br />' (5) WATER LEVELS <br /> Was electric log made of well? ❑ Yes R No If yrs attach copy <br /> Depth at which water was first found ft <br /> Stsnd,ng lc,rl before prrforot.ng it <br /> �[� 17 <br /> 1 <br /> Standing level after perforating ft I <br /> Tote your obstna+ion of any ehsnge to water level while drilling <br /> Y as a surface sanitary seal prov,dedl <br /> Nne <br />' (b) WELL PUMP�NG TEST-, Work starsrd 5/25/51+- 19 Completed2 19 <br /> t611/5L <br /> Gpacity gal /mm fr draw down Date of Report ' 1! <br />' WELL DRILLER'S STATEMENT <br /> Was well gravel parhrda [ t 1 This well ua$ drilled under guy Patrudrrleon and Phu report is True to the btaf <br /> re any strata sealrd against pollution? o/ any Amoss ledge gild belrt/ <br /> + Attach Clark Weal,Drilling Co,_ <br /> mperaeure � r Vkss a ehemleal snalyus made? copy [$ICNCIy — -- <br /> IE abandoned vis well ea dlrr <br /> ppeJT _ » !�'� <br /> gy— r7r.— <br /> New <br /> (7) TYPE OF WORK (check) License No t 66 2 L Classification r+— <br />' New well 9; Recondttion,ng of well [3 Dated— — ---- <br /> Deepening <br /> Deepening existing well © aaalo 7 51 som guIN syo <br />
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